CODY BIANCHETTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

CODY

Last Name

BIANCHETTA

Business Name

CODY BIANCHETTA MD

Original Issue Date

07/27/2021

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

DAVID JUNCTION

State

Zip

61020

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023